{% extends "./common/base.html" %}
{% block title %}
	工厂入驻
{% endblock %}
{% block css %}
	<link rel="stylesheet" type="text/css" href="/css/h5/modal.css">
	<link rel="stylesheet" type="text/css" href="/css/h5/factory_entry.css">
{% endblock %}
{% block content %}
	<div class="container">
		<img class="logo" src="/img/new_logo.png" alt="">
		<div class="form">
			<div class="form-group">
				<label class="form-label">类型</label>
				<input id="type" readonly="" type="" name="" placeholder="请选择类型">
				<div class="form-select type-select">
					<span>选择</span>
					<select id="type-select">
						<option value="">请选择</option>
						<option value="COMMON">普通</option>
						<option value="GOLD">金牌</option>
						<option value="DIAMOND">钻石</option>
					</select>
				</div>
			</div>
			<div class="form-group">
				<label class="form-label">企业名</label>
				<input id="name" type="" name="" placeholder="请输入企业名称">
			</div>
			<div class="form-group form-address">
				<div class="form-select">
					<span id="province-text">省</span>
					<select id="province">
					</select>
				</div>
				<div class="form-select">
					<span id="city-text">市</span>
					<select id="city">
					</select>
				</div>
				<div class="form-select">
					<span id="area-text">区</span>
					<select id="area">
					</select>
				</div>
			</div>
			<div class="form-group">
				<label class="form-label">地址</label>
				<input id="address" type="" name="" placeholder="请输详细地址">
			</div>
			<div class="form-group">
				<label class="form-label">联系人</label>
				<input id="contactName" type="" name="" placeholder="请输联系人姓名">
			</div>
			<div class="form-group">
				<label class="form-label">电话</label>
				<input id="contactPhone" type="" name="" placeholder="请输入联系人电话">
			</div>
			<button id="submit" class="btn">登录</button>
		</div>
	</div>
{% endblock %}
{% block script %}
	<script type="text/javascript" src="/vendor/jquery/dist/jquery.min.js"></script>
	<script type="text/javascript" src="/js/h5/factory_entry.js"></script>
{% endblock %}







